Charles Stephen Francis III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00647100 Issued in NJ

Practice address

1237 W Sherman Ave
Vineland, NJ 08360-6920

Phone

(856) 696-7100

NPI assigned

Jan 4, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mainland Wellness and Rehabilitation Center,LLC

  • Chiropractor
  • Linwood, NJ
  • NPI 1548314297
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1508636119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 RIVER RD APT A",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154704",
            "telephone_number": "540-539-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606920",
            "telephone_number": "856-696-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "CHARLES",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005328",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00647100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raechel Ann Fockler, D.O.
• Farhad Foroudi, DPM
• Kathleen Ann Forte, P.T.A.
• Angelina K Fox
• Kathy Jo Franceschini, PT
• Danielle K Francis, P.A.
• Claudia Nallely Franco Perea
• Frank de Maio MD PA
• Eugene B Frank, O.D
• Dawn Paula Frasnelli, LCSW

• Physical Therapist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.